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    PLoS Genetics | www.plo s genetics.org 1 July 2010 | Volume 6 | Issue 7 | e1001036

    icroe!olution o" #elico$%cter pylori &uring Prolonge&In"ection o" Single #osts %n& wit'in (%milies

    Gio!%nn% orelli1)%

    * +%!ier ,i&elot2* -%ric% usece/

    1)%* S%n&r% Sc'w%r0

    3)$* 'ristelle -%'l%w%ne

    3*

    ,%niel (%lus'* Se$%sti%n Suer$%um

    3* %r/ c'tm%n

    1*24

    1 ,ep%rtment o" olecul%r -iology* %5Pl%nc/ Institute "or In"ection -iology* -erlin* Germ%ny* 2 ,ep%rtment o" St%tistics* ni!ersity o" 8%rwic/* 8%rwic/* nite&

    ing&om* 3 Institute o" e&ic%l icro$iology %n& #ospit%l 9pi&emiology* #%nno!er e&ic%l Sc'ool* #%nno!er* Germ%ny* 9n!ironment%l :ese%rc' Institute %n&,ep%rtment o" icro$iology* ni!ersity ollege or/* or/* Irel%n&

    $str%ct

    ;ur un&erst%n&ing o" $%sic e!olution%ry processes in $%cteri% is still !ery limite&. (or e5%mple* multiple recent &%tingestim%tes %re $%se& on % uni!ers%l interspecies molecul%r cloc/ r%te* $ut t'%t r%te w%s c%li$r%te& using estim%tes o"geologic%l &%tes t'%t %re no longer %ccepte&. 8e t'ere"ore estim%te& t'e s'ortterm r%tes o" mut%tion %n& recom$in%tionin #elico$%cterpylori$y se70 "romt'e Si5t' :ese%rc' (r%mewor/ Progr%mme o" t'e 9urope%n nion %n& 9:6H9? P%t'oGenoics #9L,IVH9? to SS* %n& 0@E(91E->>2 AScience (oun&%tion o"Irel%n&C to . ?'e "un&ers '%& no role in stu&y &esign* &%t% collection %n& %n%lysis* &ecision to pu$lis'* or prep%r%tion o" t'e m%nuscript.

    ompeting InterestsB ?'e %ut'ors '%!e &ecl%re& t'%t no competing interestse5ist.

    4 96m%ilB m.%c't m%nucc.ie

    )% urrent %&&ressB %5Pl%nc/ Institute "or olecul%r Genetics* -erlin* Germ%ny)$ urrent %&&ressB,ep%rtment o" icro$iology* ni!ersity o" 8%s'ington* Se%ttle* 8%s'ington* nite& St%tes o" meric%

    Intro&uction

    8'en &i& mo&ern p%t'ogenic $%cteri% e!ol!e urrent wis&om

    te%c'es t'%t 10*000D@0*000 ye%rs '%!e el%pse& since % !%riety o"genetic%lly 'ig'ly monomorp'ic $%cteri%l p%t'ogens e!ol!e& "romt'eir l%st common %ncestors K1D6 %n& t'e %ges o" p%t'ogenic

    $%cteri% wit' gre%ter le!els o" genetic &i!ersity '%!e $een

    estim%te& %s re"lecting millions o" ye%rs o" e!olution K7*>. ge

    estim%tes "or $%cteri% %re 'ig'er t'%n t'ose o" !iruses* m%ny o"

    w'ic' %ppe%re& % "ew 'un&re& ye%rs %go K=* prim%rily $ec%use

    m%ny $%cteri%l estim%tes %re $%se& on % suppose&ly uni!ers%l

    molecul%r cloc/ r%te* mS*"or synonymouspolymorp'isms in genes

    t'%t enco&e proteins. In 1=>7* ;c'm%n %n& 8ilson c%li$r%te& t'iscloc/ r%te %s 3.610

    2=per nucleoti&e per ye%r $y &%ting t'e

    split $etween 9sc'eric'i% coli %n& S%lmonell% enteric% wit'in t'e

    "r%mewor/ o" % uni!ers%l cloc/ r%te "or $%cteri%l r:H

    se

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    ut%tion %n& :ecom$in%tion :%tes in #. pylori

    ut'or Summ%ry

    ut%tion r%tes in $%cteri% '%!e gener%lly $een consi&ere&to $e muc' slower t'%n in !iruses. ?'is is p%rtly $ec%useestim%tes o" longterm mut%tion r%tes "or t'e e!olution o"&istinct species '%!e $een in%ppropri%tely use& "or &%ting&i!ergence wit'in species. (urt'ermore* t'e most commonly use& longterm mut%tion r%te is $%se& ongeologic%l &%tes t'%t %re no longer %ccepte&. In %&&ition*only "ew s'ortterm mut%tion r%tes '%!e $een c%lcul%te&

    wit'in $%cteri%l species* %n& t'ese &i""er wit' t'e species$y se!er%l or&ers o" m%gnitu&e. #ere* we pro!i&e ro$ustestim%tes "or s'ortterm mut%tion %n& recom$in%tion r%teswit'in #elico$%cter pylori* % $%cterium t'%t commonlyin"ects t'e 'um%n g%stric mucos%* $%se& on seri%l isol%tes"rom longterm in"ections %n& on &i""erences $etweenisol%tes "rom multiple "%mily mem$ers. ?'ese s'orttermmut%tion r%tes %re @D17"ol& "%ster t'%n longtermmut%tion r%tes in #. pylori t'%t '%!e $een c%li$r%te& $y

    p%r%llel %ncient migr%tions o" 'um%ns. S'ortterm mut%tion r%tes in $%cteri%* inclu&ing t'ose "or #.pylori* c%n $e7 K10 wit' current estim%tes.

    ?ime Point 9!ent ;l& 9stim%te AM%C urrent 9stim%teAM%C it%tion

    y%no$%cteri% .1*300 .2*00 K6

    - P'otosynt'etic eu/%ryotes

    .

    >00

    .

    1*200 K6@ ;5ygen

    *

    2*000 2*300 K66

    , ;5i&%ti!eeu/%ryotes .>00 .1*00 K67

    9 #ig' concentr%tion ;2 *>00

    ( Lig't org%ns .@0

    G 9yes *@00 .@31 K6>

    # L%n& pl%nts *00 @0

    I %mm%ls *1@0 .162 K6=

    J Legumes .100 .> K70

    &oiB10.1371EFourn%l.pgen.1001036.t001

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    (igure 1. Percent%ge &i!ersity in r:H !ersus %ge Amillion ye%rsC. AC origin%l correl%tion $y ;c'm%n %n& 8ilson K10. A-C l%c/ o" goo&correl%tion %ccor&ing to mo&ern estim%tes o" %ge r%nges A?%$le 1C.&oiB10.1371EFourn%l.pgen.1001036.g001

    r%te. In&ee&* t'e "re ye%rsC.Ho se

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    ?%$le 2. Pu$lis'e& %ges %n& cloc/ r%tes "or microe!olution in selecte& $%cteri%.

    ?%5on loc/ r%te ge AyrsC it%tion S%mpling perio& AyrsC

    %mpylo$%cter FeFuni mSO 2.>6102@

    00 K20 3

    p%n&emic Vi$rio c'oler%e mSO 6.76102@

    130 K21 3

    St%p'ylococcus %ureus S?23= m O 3.361026

    @ K22 21

    Mersini%pestis A%&%g%sc%rC m O >.66

    10

    2=

    100 su$mitte& 70#. pylori seri%l isol%tes mSO

    *

    26102@

    .

    11*000 K= 1.>

    -uc'ner% AHort' meric%C mSO 2.261027

    *13@ K71 e5t%nt

    #. pylori in P%ci"ic m O 2.661027

    70*000 K2= e5t%nt

    H;?9B #. pylori in P%ci"ic w%s c%lcul%te& "rom t'e r%w output o" t'e lon%l(r%me %n%lyses in cit%tion K2= %s m O t'et%E2Eco%lescent unitEconc%ten%te& se A=@ con"i&ence inter!%l KI @0>.D=>@.=C* co%lescent unit w%s 00*000 yrs %n& conc%ten%te& se610

    27to 3.6610

    27.

    mSB synonymous cloc/ r%te per nucleoti&e per ye%r.

    mB mut%tion%l cloc/ r%te per nucleoti&e per ye%r. ?'e s%mpling perio& is &esign%te& %s e5t%nt w'en &%te o" s%mpling w%s not consi&ere& in &%te estim%tes.&oiB10.1371EFourn%l.pgen.1001036.t002

    t'ree p%irs o" isol%tes &i""ere& $y % single nucleoti&e* %n& si5 p%irs

    o" isol%tes &i""ere& $y eig't mos%ic stretc'es. A(our ot'er p%irs

    were e5clu&e& "rom %n%lysis $ec%use t'ey eit'er re"lecte& mi5e&

    in"ections wit' genetic%lly unrel%te& str%ins or %n in"ection wit'

    % clou& o" rel%te& isol%tes w'ose genetic &i!ersity '%& %risenprior

    to in"ection.C (or t'e 6 p%irs o" isol%tes wit' mos%ic stretc'es*

    'omologous recom$in%tion '%& intro&uce& imports o" %n %!er%ge

    sie o" 17 $p AI K=@ con"i&ence inter!%l 2@=D732C %t % r%teper nucleoti&e per ye%r o" 6.=610

    2@AI 3.@610

    2@to

    1.26102

    C.

    ?'e t'ree p%irs t'%t &i""ere& $y % single polymorp'ism were use&

    to c%lcul%te % m%5im%l mut%tion r%te per nucleoti&e per ye%r o".1610

    2@* $ut t'ese polymorp'isms coul& not $e

    &e"initi!ely

    %scri$e& to mut%tion $ec%use t'ey mig't '%!e represente&

    %typic%lly s'ort imports K=.

    #ere we '%!e re%n%lye& t'e s%me p%irs o" isol%tes plus ot'ers

    t'%t sp%nne& longer time perio&s. 8e e5%mine& t'e se gene "r%gments in or&er to pro!i&e ro$ust s'ort

    term cloc/ r%tes "or mut%tion %n& recom$in%tion. ?'ese cloc/r%tes were comp%re& to longterm cloc/ r%tes t'%t were c%li$r%te&

    $y t'e &%tes o" 'um%n migr%tions.

    :esults

    Ho!el nucleoti&e se gene "r%gments "rom se!en genomic seC

    &oiB10.1371EFourn%l.pgen.1001036.t003

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    (igure 2. Se3 s'owe& one nucleoti&e &i""er

    ence* 30 '%& two %n& 1>6 '%& %t le%st t'ree. #owe!er* %lt'oug'

    t'e longer time sp%n "or &i!ergence o" t'e "%mily isol%tes w%s

    e5pecte& to s'ow e!en stronger correl%tions wit' time* t'is w%s

    not t'e c%se. Inste%&* we coul& not "in& % signi"ic%nt

    correl%tion $etween t'e num$ers o" noni&entic%l gene"r%gments %n& %ny "unction o" t'e %ge o" t'e "%mily mem$ers

    t'%t w%s teste&. (or e5%mple* i" in"ection were tr%nsmitte& to

    si$lings or c'il&ren w'en t'ey re%c'e& 20 ye%rs o" %ge* %

    signi"ic%nt correl%tion s'oul& '%!e $een o$ser!e& $etween t'e

    num$ers o" &istinct gene "r%gment se6 (igure 3,C. Visu%l e5%min%tion o"

    t'e &%t% in&ic%te& t'%t t'is l%c/ o" correl%tion wit' %ge l%rgely

    re"lecte& two "%milies* num$ers 23 %n& 26* w'ic' '%& unusu%lly

    'ig' le!els o" polymorp'ism. "ter remo!%l o" &%t% "rom t'ese

    two "%milies* t'e num$er o" &i""erences w%s signi"ic%ntly

    correl%te& wit' m%5im%l %ge A: O 0. p O 0.0@ (igure S1,C.

    o&el$%se& %n%lysis8e &esigne& % st%tistic%l mo&el o" t'e microe!olution%ry

    process in or&er to %n%lye our &%t%. ;ur mo&el %ssumes t'%t

    e%c' se

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    (igure 3. ge !ersus num$er o" &i""erent gene "r%gments in p%irwise comp%risons. A*-C seri%l isol%tes. A* ,C isol%tes wit'in e%c' "%mily.AC inimum %ge w%s t'e time sep%r%tion $etweenp%irs o" isol%tes. A-C %5imum %ge w%s t'e sum o" t'e %ges o" t'e in"ecte& person upon isol%tiono" t'e seri%l isol%tes. AC inimum %ge w%s t'e minimum %ge o" t'e two su$FectsQ20. A,C %5imum %ge w%s t'e sum o" t'e %ges o" t'e two "%milymem$ers. 9%c' plot cont%ins % line%r regression o" t'e &%t%* w'ose correl%tion A:C %n& pro$%$ility ApC %re in&ic%te& %$o!e t'e plot.&oiB10.1371EFourn%l.pgen.1001036.g003

    in"ecte& w'om. ?'ere"ore* we m%&e no %ssumptions %$out

    p'ylogeny $ut r%t'er per"orme& p%irwise comp%risons o" e%c'

    p%ir o" isol%tes wit'in % "%mily. ?'is tec'ni

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    (igure . P%irwise comp%rison o" se11721 1*1= K100>1763

    n Apolymorp'ism r%teC 0.016 K0.0060.026 0.022 K0.0170.02>

    n J l Apolymorp'ismsC 1>.62 K7.672>.03 30.=6 K20.=16.13

    rEm 0.1= K0.110.26 0.1> K0.130.2@

    r J l J nEm 3.3@ K1.66@.@6 @.= K3.6>.06

    &oiB10.1371EFourn%l.pgen.1001036.t00

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    (igure @. omp%risons o" o$ser!e& %n& simul%te& &%t% "or se

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    ?'e r%tio rEm s'oul& $e % ro$ust me%sure o" t'e rel%ti!e"re*!ery simil%r to t'e estim%te o" 0.1= "or t'e seri%l isol%tes A?%$le C.Simil%rly* t'e tr%ct lengt' l %n& t'e "reD@2 times t'e r%te in M.pestis A?%$le 2C. ?'ese comp%risons s'ow t'%t t'e s'ortterm cloc/r%te !%ries &r%m%tic%lly %mong &i""erent $%cteri%* %n& in somec%ses o!erl%ps wit' t'ose o" :H !iruses K60. #owe!er* in %llc%ses consi&ere& 'ere* it is 'ig'er t'%n t'e longterm AsynonymousCcloc/ r%te o" 3.610

    2=t'%t '%s o"ten $een use& until now to

    c%lcul%te t'e %ges o" genetic%lly monomorp'ic $%cteri%.

    %teri%ls %n& et'o&s

    -%cteri%l isol%tes8e stu&ie& two types o" $%cteri%l isol%tes o" #. pyloriB seri%l

    isol%tes w'ic' were collecte& "rom in&i!i&u%l persons %"ter %

    speci"ie& time inter!%l* %n& "%mily isol%tes w'ic' were collecte&concurrently "rom two or more mem$ers o" t'e s%me "%mily A?%$leS2C. ?'e 6> seri%l isol%tes were collecte& "rom 3 p%tients %t

    inter!%ls r%nging "rom 3 mont's to 10.2 ye%rs. ?'e 2= "%mily

    isol%tes were collecte& "rom 2 to @ mem$ers o" 10 "%milies.

    Hucleoti&e se

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    pro&ucts were cle%ne& $y using s'rimp %l/%line p'osp'%t%se plus

    e5onucle%se I. ll se gene "r%gments w'ose se gene "r%gments "rom genomic

    se

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    :e"erences

    1. c'tm%n * orelli G* R'u P* 8irt' ?* ,ie'l I* et %l. A200C icroe!olution%n& 'istory o" t'e pl%gue $%cillus* Mersini% pestis. Proc H%tl c%& Sci ASC101B17>37D17>2.

    2. :oum%gn%c P* 8eill (+* ,olece/ * -%/er S* -risse S* et %l. A2006C9!olution%ry 'istory o" S%lmonell% ?yp'i. Science 31B 1301D130.

    3. Hu $el * :oum%gn%c P* (el&/%mp * Song J#* o S* et %l. A200>C(re6=D=>7.@. Pupo G* L%n :* :ee!es P: A2000C ultiple in&epen&ent origins o" S'igell%

    clones o" 9sc'eric'i% coli %n& con!ergent e!olution o" m%ny o" t'eirc'%r%cteristics. Proc H%tl c%& Sci AS C =7B 10@67D10@72.

    6. Leopol& S:* %grini V* #olt HJ* S'%i/' H* %r&is 9:* et %l. A200=C precisereconstruction o" t'e emergence %n& constr%ine& r%&i%tions o" 9sc'eric'i% coli;1@7 portr%ye& $y $%c/$one conc%tenomic %n%lysis. Proc H%tl c%& Sci ASC106B >713D>71>.

    7. P%r/'ill J* Se$%i'i% * Preston * urp'y L,* ?'omson H* et %l. A2003Comp%r%ti!e %n%lysis o" t'e genome se6.

    11. S'eri&%n PP* (reem%n #* -renc'ley J9 A2003C9stim%te& minim%l &i!ergencetimes o" t'e m%For $%cteri%l %n& %rc'%e%l p'yl%. Geomicro$iology Journ%l 20B1D1.

    12. 8irt' ?* (%lus' ,* L%n :* olles (* ens% P* et %l. A2006C Se5 %n& !irulence in9sc'eric'i% coliB %n e!olution%ry perspecti!e. ol icro$iol 60B 1136D11@1.

    13. -%ttistui (* (eiF%o * #e&ges S- A200C genomic timesc%le o" pro/%ryotee!olutionB insig'ts into t'e origin o" met'%nogenesis* p'ototrop'y* %n& t'ecoloni%tion o" l%n&. - 9!ol -iol B .

    1. #o SM* L%rson G A2006C olecul%r cloc/sB w'en times %re %c'%nginN. ?ren&sGenet 22B 7=D>3.

    1@. #o SM* S'%piro -* P'illips J* ooper * ,rummon& J A2007C 9!i&ence "ortime &epen&ency o" molecul%r r%te estim%tes. Syst -iol @6B @1@D@22.

    16. :oc'% 9P* Smit' J* #urst L,* #ol&en ?* ooper J9* et %l. A2006Comp%risons o" &HE&S %re time &epen&ent "or closely rel%te& $%cteri%lgenomes. J t'eor -iol 23=B 226D23@.

    17. ry%'ims/iy S* Plot/in J- A200>C ?'e popul%tion genetics o" &HE&S. PLoSGenet B e100030. &oiB10.1371EFourn%l.pgen.100030.

    1>. ;c'm%n #* 9lwyn S* or%n H A1===C %li$r%ting $%cteri%l e!olution. ProcH%tl c%& Sci AS C =6B 1263>D1263.

    1=. c'tm%n A200>C 9!olution* popul%tion structure %n& p'ylogeogr%p'y o"

    genetic%lly monomorp'ic $%cteri%l p%t'ogens. nnu :e! icro$iol 62B @3D70.

    20. 8ilson ,J* G%$riel 9* Le%t'er$%rrow J* 'ees$roug' J* Gee S* et %l. A200=C:%pi& e!olution %n& t'e import%nce o" recom$in%tion to t'e g%stroenteric

    p%t'ogen %mpylo$%cter FeFuni. ol -iol 9!ol 26B 3>@D3=7.

    21. (eng L* :ee!es P:* L%n :* :en M* G%o * et %l. A200>C rec%li$r%te& molecul%rcloc/ %n& in&epen&ent origins "or t'e c'oler% p%n&emic clones. PLoS ;H9 3B

    e0@3. &oiB10.1371EFourn%l.pone.0000@3.

    22. #%rris S:* (eil 9J* #ol&en ?* Tu%il * Hic/erson 9* et %l. A2010C9!olution o" :S &uring 'ospit%l tr%nsmission %n& intercontinent%l spre%&.Science 327B 6=D7.

    23. en% * Smit' 99* -urns JL* Speert ,P* os/owit S* et %l. A200>C Genetic%&%pt%tion o" Pseu&omon%s %eruginos% to t'e %irw%ys o" cystic "i$rosis p%tients isc%t%lye& $y 'ypermut%tion. J -%cterio l 1=0B 7=10D7=17.

    2. Smit' 99* -uc/ley ,G* 8u R* S%enp'imm%c'%/ * #o""m%n L:* et %l. A2006CGenetic %&%pt%tion $y Pseu&omon%s %eruginos% to t'e %irw%ys o" cystic "i$rosis

    p%tients. Proc H%tl c%& Sci ASC103B >>7D>=2.

    2@. w%ngi * 8u S8* R'ou M* Sier%&/i * ,e Lenc%stre #* et %l. A2007C?r%c/ing t'e in !i!o e!olution o" multi&rug resist%nce in St%p'ylococcus %ureus $yw'olegenome seD3@@@.27. '%ttop%&'y%y S* 8eissm%n SJ* inin VH* :usso ?* ,y/'uien ,9* et %l.

    A200=C#ig' "reB 1607D1612.

    36. %ng J* Io!ine H* -l%ser J A2006C p%r%&igm "or &irect stressin&uce&

    mut%tion in pro/%ryotes. (S9- J 20B 276D2>@.

    37. Lin R* Hei * % # A2007C ?'e origins %n& e%rly e!olution o" ,H mism%tc'rep%ir genesDmultiple 'oriont%l gene tr%ns"ers %n& coe!olution. Hucleic ci&s:es 3@B 7@=1D7603.

    3>. %ng J* -l%ser J A2006C -%cteri%l popul%tions %s per"ect g%sesB genomic

    integrity %n& &i!ersi"ic%tion tensions in #elico$%cter pylori. H%t :e! icro$iol B>26D>36.

    3=. Suer$%um S* %yn%r& Smit' J* -%pumi% * orelli G* Smit' H#* et %l. A1==>C(ree recom$in%tion wit'in #elico$%cter pylori. Proc H%tl c%& Sci A S C =@B1261=D1262.

    0. einersm%nn :J* :omeroG%llo J* -l%ser J A200>C:%te 'eterogeneity in t'ee!olution o" #elico$%cter pylori %n& t'e $e'%!ior o" 'omopl%stic sites. In"ect Genet9!ol >B @=3D602.

    1. ulic/ S* occi% * ,i&elot +* (%lus' ,* r%"t * et %l. A200>C os%ic ,Himports wit' interspersions o" recipient seD=23.

    . -erg ,9* Gilm%n :#* Lelw%l%Guruge J* Sri!%st%!% * V%l&e M* et %l. A1==7C#elico$%cter pyloripopul%tions in Peru!i%n p%tients. lin In"ect ,is 2@B ==6D1002.

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    $er/ep%nF%ng%n #ost Single &%n &%l%m elu%rg%

    http://www.fossilrecord.net/dateaclade/clade_crown_Bilateria.htmlhttp://www.fossilrecord.net/dateaclade/clade-platypus-elephant.htmlhttp://www.fossilrecord.net/dateaclade/clade-platypus-elephant.htmlhttp://www.fossilrecord.net/dateaclade/clade-platypus-elephant.htmlhttp://www.fossilrecord.net/dateaclade/clade-platypus-elephant.htmlhttp://www.fossilrecord.net/dateaclade/clade-platypus-elephant.htmlhttp://www.fossilrecord.net/dateaclade/clade-platypus-elephant.htmlhttp://tolweb.org/Fabaceae/http://tolweb.org/Fabaceae/http://tolweb.org/Fabaceae/http://tolweb.org/Fabaceae/http://tolweb.org/Fabaceae/http://www.fossilrecord.net/dateaclade/clade_crown_Bilateria.htmlhttp://www.fossilrecord.net/dateaclade/clade-platypus-elephant.htmlhttp://tolweb.org/Fabaceae/
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